CPT code 74425: Antegrade urography, nephrostomy-route contrast imaging2026 Medicare rate & RVUs in Delaware

Reports radiologic imaging and interpretation of the urinary collecting system after contrast is introduced in an antegrade direction through percutaneous access.

CMS RVU26DEffective Oct 1, 2026One payment locality966 Medicare services in 2024

In Delaware, Medicare pays $132.50 for 74425 in the office.

$132.50Office (non-facility)
Not available in this settingHospital or facility
−1.1%vs the national office rate ($133.94)

Check a contract rate as a % of Medicare · 74425 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 74425 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 74425 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 74425 covers

Antegrade urography uses radiographic imaging to show the renal collecting system and ureter after contrast is injected through percutaneous urinary access, commonly a nephrostomy catheter. A radiologist or interventional radiologist evaluates how contrast fills and passes through the urinary tract, including in patients being assessed for obstruction, narrowing, or a leak. The service is typically performed in a hospital or imaging department where fluoroscopic equipment and the existing access route are available.

Report 74425 for the antegrade contrast examination and its radiologic supervision and interpretation, rather than for catheter placement or exchange alone. The record should identify the access route, describe contrast flow and the images obtained, and include the interpreting clinician’s findings. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for the equipment and staff, or no component modifier when billing the global service. The components are separately priced by CMS.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Delaware compares for 74425

Across 109 of 109 payment localities, the office rate for 74425 runs from $116.95 in Arkansas to $186.38 in San Benito County, CA. Delaware pays $132.50. The RVUs are the same everywhere; the geographic indexes change the dollars.

74425 in Delaware vs other payment areas
  1. Delaware · this page$132.50
  2. Los Angeles, CA · California$155.38+$22.88
  3. Washington, DC area · District of Columbia$155.62+$23.12
  4. Miami, FL · Florida$140.73+$8.23
  5. Chicago, IL · Illinois$136.36+$3.86
  6. Manhattan, NY · New York$154.57+$22.07
  7. Alaska · Alaska$149.22+$16.72

Other areas in Delaware first, then benchmark localities. Bars start at $0.

Every other payment area

74425 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$118.87—
ArkansasArkansas$116.95—
ArizonaArizona$130.15—
Bakersfield, CACalifornia$144.86—
Chico, CACalifornia$144.73—
El Centro, CACalifornia$144.73—
Fresno, CACalifornia$144.73—
Hanford, CACalifornia$144.73—

74425 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$116.95

$165.56

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
74425 office rate range by state
State / territoryOffice rate rangeLocalities
AK$149.221
AL$118.871
AR$116.951
AZ$130.151
CA$144.73–$186.3829
CO$141.261
CT$143.481
DC$155.621
DE$132.501
FL$129.51–$140.733
GA$121.68–$136.112
GU$149.251
HI$149.251
IA$123.281
ID$123.961
IL$124.61–$138.224
IN$124.791
KS$122.151
KY$120.961
LA$120.55–$127.282
MA$140.08–$156.962
MD$135.39–$155.623
ME$124.16–$132.402
MI$124.03–$130.802
MN$136.361
MO$117.91–$128.383
MS$117.481
MT$133.931
NC$125.691
ND$133.141
NE$124.181
NH$138.521
NJ$145.40–$153.622
NM$124.591
NV$133.831
NY$127.75–$158.065
OH$123.861
OK$121.241
OR$133.08–$146.732
PA$124.36–$139.252
PR$135.191
RI$137.941
SC$124.931
SD$133.051
TN$122.771
TX$123.41–$140.548
UT$126.851
VA$131.57–$155.622
VI$135.191
VT$132.121
WA$139.98–$160.842
WI$128.151
WV$119.331
WY$133.591

See 74425 in every payment locality

How the 74425 rate is calculated

Each of 74425’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 74425

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.50

0.50 RVUs× 1.000 GPCI

Practice expense3.47

3.47 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

4.0100

Conversion factor

$33.4009

Medicare rate

$133.94

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,429

Code
74425
Physician work
0.50
Practice expense
3.47
Malpractice
0.04

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 74425 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.50× 1.0050.5025
Practice expense3.47× 0.9883.4284
Malpractice0.04× 0.8990.0360
Total RVUs3.9668
Conversion factor× 33.4009

Office rate, Delaware$132.50

Office: (0.5 × 1.005 + 3.47 × 0.988 + 0.04 × 0.899) × $33.4009 = $132.50

Open 74425 in the RVU calculator

Payment rules and modifiers for 74425

The CMS indicators that decide how 74425 is paid alongside other services.

CMS payment indicators · 74425

Antegrade urography, nephrostomy-route contrast imaging

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

74425 without 26 · national office

$133.94

Antegrade urography, nephrostomy-route contrast imaging

74425-26 · Professional component

$23.71

Pays only the interpretation and report.

When to use modifier 26

How 74425 has changed in Delaware

74425 · Office / nonfacility

$132.50

Effective 2026-10-01

The base rate is $3.92 higher than on 2025-10-01, moving from $128.58 to $132.50 (3.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $128.58changed to$132.50

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.51 changed to 0.50
    • Practice expense RVU 3.45 changed to 3.47
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $134.64changed to$128.58

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.53 changed to 3.45
    • Malpractice RVU 0.03 changed to 0.04

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $132.44changed to$134.64

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $140.52changed to$132.44

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.58 changed to 3.53
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949
  5. January 1, 2023

    RVU23A

    $146.73changed to$140.52

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.62 changed to 3.58
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $144.74changed to$146.73

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.53 changed to 3.62

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $134.59changed to$144.74

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.12 changed to 3.53
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    No ratechanged to$134.59

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$132.50Not available in this settingRVU26D
2026-07-01$132.50Not available in this settingRVU26C
2026-04-01$132.50Not available in this settingRVU26B
2026-01-01$132.50Not available in this settingRVU26A
2025-10-01$128.58Not available in this settingRVU25D
2025-07-01$128.58Not available in this settingRVU25C
2025-04-01$128.58Not available in this settingRVU25B
2025-01-01$128.58Not available in this settingRVU25A
2024-10-01$134.64Not available in this settingRVU24D
2024-07-01$134.64Not available in this settingRVU24C
2024-04-01$134.64Not available in this settingRVU24B
2024-03-09$134.64Not available in this settingRVU24AR
2024-01-01$132.44Not available in this settingRVU24A
2023-10-01$140.52Not available in this settingRVU23D
2023-07-01$140.52Not available in this settingRVU23C
2023-04-01$140.52Not available in this settingRVU23B
2023-01-01$140.52Not available in this settingRVU23A
2022-10-01$146.73Not available in this settingRVU22D
2022-07-01$146.73Not available in this settingRVU22C
2022-04-01$146.73Not available in this settingRVU22B
2022-01-01$146.73Not available in this settingRVU22A
2021-10-01$144.74Not available in this settingRVU21D
2021-07-01$144.74Not available in this settingRVU21C
2021-04-01$144.74Not available in this settingRVU21B
2021-01-01$144.74Not available in this settingRVU21A
2020-10-01$134.59Not available in this settingRVU20D
2020-07-01$134.59Not available in this settingRVU20C
2020-04-01$134.59Not available in this settingRVU20B
2020-01-01$134.59Not available in this settingRVU20A
2019-10-01Contractor-pricedContractor-pricedRVU19D
2019-07-01Contractor-pricedContractor-pricedRVU19C
2019-04-01Contractor-pricedContractor-pricedRVU19B
2019-01-01Contractor-pricedContractor-pricedRVU19A
2018-10-01Contractor-pricedContractor-pricedRVU18D
2018-07-01Contractor-pricedContractor-pricedRVU18C
2018-04-01Contractor-pricedContractor-pricedRVU18B
2018-01-01Contractor-pricedContractor-pricedRVU18AR1
2017-10-01Contractor-pricedContractor-pricedRVU17D
2017-07-01Contractor-pricedContractor-pricedRVU17C
2017-04-01Contractor-pricedContractor-pricedRVU17B
2017-01-01Contractor-pricedContractor-pricedRVU17A
2016-10-01Contractor-pricedContractor-pricedRVU16D
2016-07-01Contractor-pricedContractor-pricedRVU16C
2016-04-01Contractor-pricedContractor-pricedRVU16B
2016-01-01Contractor-pricedContractor-pricedRVU16A
2015-10-01Contractor-pricedContractor-pricedRVU15D
2015-07-01Contractor-pricedContractor-pricedRVU15C
2015-04-01Contractor-pricedContractor-pricedRVU15B
2015-01-01Contractor-pricedContractor-pricedRVU15A
2014-10-01Contractor-pricedContractor-pricedRVU14D
2014-07-01Contractor-pricedContractor-pricedRVU14C
2014-04-01Contractor-pricedContractor-pricedRVU14B
2014-01-01Contractor-pricedContractor-pricedRVU14A
2013-10-01Contractor-pricedContractor-pricedRVU13D
2013-07-01Contractor-pricedContractor-pricedRVU13C
2013-04-01Contractor-pricedContractor-pricedRVU13B
2013-01-01Contractor-pricedContractor-pricedRVU13AR

Price 74425 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

74425 billing questions

When is 74425 used instead of retrograde urography?

Use 74425 when contrast is introduced in an antegrade direction through percutaneous urinary access, such as a nephrostomy catheter. Retrograde urography uses contrast introduced from the lower urinary tract.

Does 74425 report nephrostomy catheter placement or exchange?

No. It reports the radiologic examination and interpretation of the urinary tract after antegrade contrast injection, not catheter placement or exchange by itself.

How are the professional and technical components reported?

Use modifier 26 for the professional interpretation and modifier TC for the technical service. Billing without either modifier represents the global service.

What documentation supports 74425?

Document the percutaneous access route, contrast injection and resulting images, and the interpreting clinician’s findings about filling and passage through the collecting system and ureter.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 74425PPRRVU2026_Oct_nonQPP.csv, line 8,429 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 74425 pays in Delaware?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 74425 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist